| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.91 | $191.92 | $191.92 | |
BCBS
| Facility | $148.19 | $148.19 | $222.30 | |
BCBS
| Professional | $148.19 | $148.19 | $151.16 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
United
| Professional | $161.62 | $190.24 | $210.44 |